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Liu L, Shi Y, Fan X, Yao Y, Wu W, Tian Y, Wu H, Li Z, Wang Y, Xu C. The health-care utilization and economic burden in patients with genetic skeletal disorders. Orphanet J Rare Dis 2024; 19:99. [PMID: 38438867 PMCID: PMC10913423 DOI: 10.1186/s13023-024-03102-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Accepted: 02/21/2024] [Indexed: 03/06/2024] Open
Abstract
BACKGROUND Most genetic skeletal disorders (GSD) were complex, disabling and life-threatening without effective diagnostic and treatment methods. However, its impacts on health system have not been well studied. The study aimed to systematically evaluate the health-care utilization and economic burden in GSD patients. METHODS The patients were derived from 2018 Nationwide Inpatient Sample and Nationwide Readmissions Database. GSD patients were extracted based on International Classification of Diseases-10th revision codes. RESULTS A total of 25,945 (0.12%) records regarding GSD were extracted from all 21,400,282 records in NIS database. GSD patients were likely to have significantly longer length of stay (6.50 ± 0.08 vs. 4.63 ± 0.002, P < 0.001), higher total charges ($85,180.97 ± 1,239.47 vs. $49,884.26 ± 20.99, P < 0.001), suffering more procedure, diagnosis and transferring records in comparison to patients with common conditions. GSD patients had a significantly higher 30-day all-cause readmission rate based on Nationwide Readmissions Database. CONCLUSIONS The heavy health-care utilization and economic burden emphasized the urgency for policy leaders, scientific and pharmaceutical researchers, health care providers and employers to identify innovative ways and take effective measurements immediately, and eventually to help improve the care, management, and treatment of these devastating diseases.
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Affiliation(s)
- Luna Liu
- Department of Endocrinology, Shandong Provincial Hospital, Shandong University, 250021, Jinan, Shandong, China
- Key Laboratory of Endocrine Glucose & Lipids Metabolism and Brain Aging, Shandong First Medical University, Ministry of Education, Jinan, China
- Shandong Clinical Research Center of Diabetes and Metabolic Diseases, 250021, Jinan, Shandong, China
| | - Yingzhou Shi
- Department of Endocrinology, Shandong Provincial Hospital, Shandong University, 250021, Jinan, Shandong, China
- Key Laboratory of Endocrine Glucose & Lipids Metabolism and Brain Aging, Shandong First Medical University, Ministry of Education, Jinan, China
- Shandong Clinical Research Center of Diabetes and Metabolic Diseases, 250021, Jinan, Shandong, China
| | - Xiude Fan
- Department of Endocrinology, Shandong Provincial Hospital, Shandong University, 250021, Jinan, Shandong, China
- Key Laboratory of Endocrine Glucose & Lipids Metabolism and Brain Aging, Shandong First Medical University, Ministry of Education, Jinan, China
- Department of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, 250021, Jinan, Shandong, China
- Shandong Clinical Research Center of Diabetes and Metabolic Diseases, 250021, Jinan, Shandong, China
- Shandong Institute of Endocrine and Metabolic Diseases, 250021, Jinan, Shandong, China
- Shandong Engineering Research Center of Stem Cell and Gene Therapy for Endocrine and Metabolic Diseases, 250021, Jinan, Shandong, China
| | - Yangyang Yao
- Department of Pediatric Orthopedics, Shandong Provincial Hospital Affiliated to Shandong First Medical University, 250021, Jinan, Shandong, China
| | - Wanhong Wu
- Department of Endocrinology, Shandong Provincial Hospital, Shandong University, 250021, Jinan, Shandong, China
- Key Laboratory of Endocrine Glucose & Lipids Metabolism and Brain Aging, Shandong First Medical University, Ministry of Education, Jinan, China
- Department of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, 250021, Jinan, Shandong, China
- Shandong Clinical Research Center of Diabetes and Metabolic Diseases, 250021, Jinan, Shandong, China
| | - Yang Tian
- Department of Endocrinology, Shandong Provincial Hospital, Shandong University, 250021, Jinan, Shandong, China
- Key Laboratory of Endocrine Glucose & Lipids Metabolism and Brain Aging, Shandong First Medical University, Ministry of Education, Jinan, China
- Shandong Clinical Research Center of Diabetes and Metabolic Diseases, 250021, Jinan, Shandong, China
| | - Huixiao Wu
- Department of Endocrinology, Shandong Provincial Hospital, Shandong University, 250021, Jinan, Shandong, China
- Key Laboratory of Endocrine Glucose & Lipids Metabolism and Brain Aging, Shandong First Medical University, Ministry of Education, Jinan, China
- Department of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, 250021, Jinan, Shandong, China
- Shandong Clinical Research Center of Diabetes and Metabolic Diseases, 250021, Jinan, Shandong, China
- Shandong Institute of Endocrine and Metabolic Diseases, 250021, Jinan, Shandong, China
- Shandong Engineering Research Center of Stem Cell and Gene Therapy for Endocrine and Metabolic Diseases, 250021, Jinan, Shandong, China
| | - Zongyue Li
- Department of Endocrinology, Shandong Provincial Hospital, Shandong University, 250021, Jinan, Shandong, China
- Key Laboratory of Endocrine Glucose & Lipids Metabolism and Brain Aging, Shandong First Medical University, Ministry of Education, Jinan, China
- Department of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, 250021, Jinan, Shandong, China
- Shandong Clinical Research Center of Diabetes and Metabolic Diseases, 250021, Jinan, Shandong, China
- Shandong Institute of Endocrine and Metabolic Diseases, 250021, Jinan, Shandong, China
- Shandong Engineering Research Center of Stem Cell and Gene Therapy for Endocrine and Metabolic Diseases, 250021, Jinan, Shandong, China
| | - Yanzhou Wang
- Department of Pediatric Orthopedics, Shandong Provincial Hospital Affiliated to Shandong First Medical University, 250021, Jinan, Shandong, China
| | - Chao Xu
- Department of Endocrinology, Shandong Provincial Hospital, Shandong University, 250021, Jinan, Shandong, China.
- Key Laboratory of Endocrine Glucose & Lipids Metabolism and Brain Aging, Shandong First Medical University, Ministry of Education, Jinan, China.
- Department of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, 250021, Jinan, Shandong, China.
- Shandong Clinical Research Center of Diabetes and Metabolic Diseases, 250021, Jinan, Shandong, China.
- Shandong Institute of Endocrine and Metabolic Diseases, 250021, Jinan, Shandong, China.
- Shandong Engineering Research Center of Stem Cell and Gene Therapy for Endocrine and Metabolic Diseases, 250021, Jinan, Shandong, China.
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Laurie E, Siebert S, Yongolo N, Halliday JEB, Biswaro SM, Krauth SJ, Kilonzo KG, Mmbaga BT, McIntosh E. Evidencing the clinical and economic burden of musculoskeletal disorders in Tanzania: paving the way for urgent rheumatology service development. Rheumatol Adv Pract 2023; 8:rkad110. [PMID: 38143512 PMCID: PMC10748784 DOI: 10.1093/rap/rkad110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/03/2023] [Indexed: 12/26/2023] Open
Affiliation(s)
- Emma Laurie
- School of Geographical and Earth Sciences, University of Glasgow, Glasgow, UK
| | - Stefan Siebert
- School of Infection & Immunity, University of Glasgow, Glasgow, UK
| | - Nateiya Yongolo
- Department of Clinical Research, Kilimanjaro Clinical Research Institute, Moshi, United Republic of Tanzania
- Department of Internal Medicine, Kilimanjaro Clinical Medical University College, Moshi, United Republic of Tanzania
| | - Jo E B Halliday
- School of Biodiversity, One Health & Veterinary Medicine, University of Glasgow, Glasgow, UK
| | - Sanjura M Biswaro
- Department of Clinical Research, Kilimanjaro Clinical Research Institute, Moshi, United Republic of Tanzania
| | | | - Kajiru Gad Kilonzo
- Department for Internal Medicine, Kilimanjaro Christian Medical Centre, Moshi, United Republic of Tanzania
| | - Blandina T Mmbaga
- Department of Clinical Research, Kilimanjaro Clinical Research Institute, Moshi, United Republic of Tanzania
- Department of Internal Medicine, Kilimanjaro Clinical Medical University College, Moshi, United Republic of Tanzania
| | - Emma McIntosh
- School of Health & Wellbeing, University of Glasgow, Glasgow, UK
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